Drugs and Delinquency: A Four Year Follow-up of Drug Clinic Patients

1978 ◽  
Vol 132 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Alistair M. Gordon
Keyword(s):  
Educational Attainment ◽  
Hospital Admission ◽  
Clinic Attendance ◽  
Good Outcome ◽  
Prognostic Assessment ◽  
Opiate Use ◽  
Drug History ◽  
Male Patients ◽  
One Year

The addiction and conviction status of 60 male patients, examined at a London drug clinic in 1970 was reassessed at four-year follow-up. Forty-three per cent had become abstinent, 23 per cent remained dependent and 15 per cent had died. Ninety-seven per cent had received a court conviction and 73 per cent were convicted during follow-up. A prognostic assessment was determined in combined terms of continued addiction and continued delinquency. Poor outcome related to a lack of educational attainment, earlier first conviction and regular opiate use on arrival, and was associated during follow-up with an irregular clinic attendance beyond one year, drug conviction and death. Good outcome related to an absence of parental loss and later first conviction, and was associated during follow-up with discharge within one year without hospital admission. Analysis of the data indicates the value of combining forensic information with drug history in prognostic assessment.

scholarly journals Facial reanimation by hypoglossal-facial neurorrhaphy

2014 ◽  
Vol 33 (01) ◽  
pp. 17-21
Author(s):  
Yvens Barbosa Fernandes ◽  
Ricardo Ramina ◽  
Hélio Sérgio Fernandes Cyrino ◽  
Marcílio Silva Prôa Júnior
Keyword(s):  
Retrospective Study ◽  
Facial Nerve ◽  
Facial Palsy ◽  
Vestibular Schwannomas ◽  
Surgical Results ◽  
Good Outcome ◽  
Facial Reanimation ◽  
Radical Removal ◽  
One Year

Abstract Objective: Facial palsy may still occur after removal of large vestibular schwannomas. The aim of this paper is to describe the outcome of patients submitted to facial reanimation and make a concise revision about modern techniques available to reanimate a paralyzed face. Methods: A retrospective study of was performed about the surgical results of 12 patients submitted to hypoglossal-facial neurorrhaphy. These patients were submitted to radical removal of large vestibular schwannomas (> 3 cm) before and anatomic preservation of the facial nerve was not possible. Results: In 10 cases (83%) patients had a good outcome with House-Brackmann facial grading III. In two other cases the facial grading was IV and VI. All patients were follow-up for at least one year after the reanimation procedure. Conclusion: Hypoglossal-facial neurorrhaphy is a very useful technique to restore facial symmetry and minimize the sequela of a paralyzed face. Long last palsy seemed to be the main reason of poor outcome in two cases.

scholarly journals Baseline Functional Status and One-year Mortality After Hospital Admission in Elderly Patients: a prospective cohort study

2020 ◽  
Vol 77 (3) ◽  
pp. 143-148
Author(s):  
Victoria Sáenz ◽  
Nicolas Zuljevic ◽  
Cristina Elizondo ◽  
Iñaki Martin Lesende ◽  
Diego Caruso
Keyword(s):  
Cohort Study ◽  
Elderly Patients ◽  
Hospital Admission ◽  
Functional Status ◽  
Prospective Cohort ◽  
Functional Decline ◽  
Long Term Outcomes ◽  
One Year

Introduction: Hospitalization represents a major factor that may precipitate the loss of functional status and the cascade into dependence. The main objective of our study was to determine the effect of functional status measured before hospital admission on survival at one year after hospitalization in elderly patients. Methods: Prospective cohort study of adult patients (over 65 years of age) admitted to either the general ward or intensive Care units (ICU) of a tertiary teaching hospital in Buenos Aires, Argentina. Main exposure was the pre-admission functional status determined by means of the modified “VIDA” questionnaire, which evaluates the instrumental activities of daily living. We used a multivariate Cox proportional hazards model to estimate the effect of prior functional status on time to all-cause death while controlling for measured confounding. Secondarily, we analyzed the effect of post-discharge functional decline on long-term outcomes. Results: 297 patients were included in the present study. 12.8% died during hospitalization and 86 patients (33.2%) died within one year after hospital discharge. Functional status prior to hospital admission, measured by the VIDA questionnaire (e.g., one point increase), was associated with a lower hazard of all-cause mortality during follow-up (Hazard Ratio [HR]: 0.96; 95% Confidence Interval [CI]: 0.94–0.98). Finally, functional decline measured at 15 days after hospital discharge, was associated with higher risk of all-cause death during follow-up (HR: 2.19, 95% CI: 1.09–4.37) Conclusion: Pre-morbid functional status impacts long term outcomes after unplanned hospitalizations in elderly adults. Future studies should confirm these findings and evaluate the potential impact on clinical decision-making.

Scarf Osteotomy for Hallux Valgus Repair: The Dark Side

2003 ◽  
Vol 24 (1) ◽  
pp. 29-33 ◽  
Author(s):  
J. Chris Coetzee
Keyword(s):  
Hallux Valgus ◽  
Early Recurrence ◽  
Delayed Union ◽  
Dark Side ◽  
Patients Âgés ◽  
Scarf Osteotomy ◽  
Structural Principles ◽  
Male Patients ◽  
One Year

Hypothesis/Purpose: The Scarf osteotomy has gained popularity as treatment of choice in parts of Europe and is based on sound structural principles. The excellent results reported by others could not, however, be reproduced by the author and the results are presented. Methods: From January 1997 to June 1997 the Scarf osteotomy was selected in 20 consecutive patients (12 female and eight male patients, ages 18 to 60, mean: 41 years) with moderate metatarsus primus varus (IMA 13 to 20°) and hallux valgus deformities (less than 40°). The AOFAS Hallux Metatarsophalangeal-Interphalangeal Scale, visual analog scale and patient satisfaction were monitored prior to surgery, six and 12 months post-op. The patients were treated in a short leg cast, non-WB for two weeks followed by four weeks partial WB in a cast shoe. Routine post-bunion rehabilitation followed once the radiological and clinical diagnosis of healing was made. Results: Multiple complications were encountered. The most common was “troughing” of the metatarsal with loss of height. This occurred in seven patients (35%). Other complications include delayed union (5%), rotational malunion (30%), proximal fracture (10%), infection (5%) and early recurrence of deformity in 25%. All 20 patients were available for follow-up at six months, and 19 of 20 at 12 months. The AOFAS score pre-op was a mean of 53. At six months a mean of 54 (19 to 69) and at 12 months 62 (24–100). Forty-five percent (9/20) were unsatisfied at one year and would not recommend the surgery to a friend. Conclusions/Significance: The Scarf osteotomy has multiple potential pitfalls and should probably be reserved for moderate bunions in young people with good bone quality. There are multiple potential problems and the salvage of a failed Scarf osteotomy is difficult.

Outcomes of the six-strand M-Tang repair for zone 2 primary flexor tendon repair in 54 fingers

2017 ◽  
Vol 42 (5) ◽  
pp. 462-468 ◽  
Author(s):  
X. Zhou ◽  
X.R. Li ◽  
J. Qing ◽  
X.F. Jia ◽  
J. Chen
Keyword(s):  
Full Range ◽  
Tendon Repair ◽  
Flexor Tendon Repair ◽  
Level Of Evidence ◽  
Active Motion ◽  
A2 Pulley ◽  
Male Patients ◽  
Early Passive ◽  
One Year

We repaired complete divisions of flexor tendons in zone 2 in 54 fingers using a six-strand core M-Tang repair method. Partial active digital motion started with early passive digital motion carried out first in the first 3–4 weeks after surgery and full range of active motion in later weeks. The patients were followed for 4–27 months. According to Strickland criteria or Tang criteria, 24 (83%) had excellent or good, four fair and one poor results in 28 fingers with follow-up of more than one year. In the other 25 fingers which were followed for less than 12 months, 19 (76%) had excellent and good, four fair and two poor results. There were no repair ruptures. We analysed outcomes against ages, gender, pulley integrity, accompanied injuries and follow-up times. The patients younger than 37 years old, male patients and with their A2 pulley(s) vented there were significantly better outcomes. The patients with longer than one year follow-up had significantly smaller extension deficits than those with less than one year follow-up. Level of evidence: IV

scholarly journals One-Year Follow-up of Immunocompetent Male Patients Treated With Miltefosine For Primary Visceral Leishmaniasis in Bihar, India

2013 ◽  
Vol 57 (9) ◽  
pp. 1363-1364 ◽  
Author(s):  
S. Burza ◽  
E. Nabi ◽  
R. Mahajan ◽  
G. Mitra ◽  
M. A. Lima
Keyword(s):  
Visceral Leishmaniasis ◽  
Male Patients ◽  
One Year

HEMOPHILUS INFLUENZAE MENINGITIS

PEDIATRICS ◽  
1949 ◽  
Vol 4 (5) ◽  
pp. 643-659
Author(s):  
WILLIAM G. CROOK ◽  
B. REED CLANTON ◽  
HORACE L. HODES
Keyword(s):  
Hospital Admission ◽  
Therapeutic Agent ◽  
Rabbit Antiserum ◽  
Complete Recovery ◽  
Specific Antiserum ◽  
Older Children ◽  
Number Of Patients ◽  
Continued Use ◽  
One Year

The results obtained in the treatment of 110 infants and children with H. influenzae meningitis are presented and the various agents used in the therapy of the disease are evaluated. Eighty-seven (79%) survived. Sixty-eight (62%) recovered completely. Eight of the 23 deaths occurred within the first 24 hours after hospital admission. Slightly over one half the children were less than one year of age. Only 69% of this group survived as compared with 90% in the group over one year of age; only 50% of the younger group recovered completely as compared with 75% of the older group. The plan of therapy underwent various modifications and additions during the eight year period covered in this study. Forty-four per cent of the patients were treated with specific H. influenzae rabbit antiserum and sulfadiazine; 48% were treated with these agents together with streptomycin (and in many instances penicillin). The remaining 8% were treated with streptomycin alone or in combination with sulfadiazine. The survival and complete recovery rates of those treated with serum, sulfadiazine and streptomycin were not significantly different from the rates of those treated with serum and sulfadiazine alone. The number of patients treated with streptomycin without serum was too few for analysis. Specific antiserum used early and in large doses seemed to be a valuable therapeutic agent in these studies. It is believed that this antiserum should be used in the treatment of all patients except perhaps older children and younger children who are only mildly ill. The high cost of this serum, however, remains a major problem. Streptomycin undoubtedly is a valuable therapeutic agent in the disease; in this study, however, there has been no striking improvement in the over-all results since its introduction. Sulfonamides and especially sulfadiazine appear to have been of limited but definite value in the treatment of this disease and their continued use in all patients is recommended. Penicillin when given in high dosages would also seem to be a helpful therapeutic adjunct when used along with other agents. Follow-up data on 64 of the 87 surviving patients are presented.

Management of chondrodermatitis nodularis chronica helicis using a ‘doughnut pillow’

2007 ◽  
Vol 121 (11) ◽  
pp. 1096-1098 ◽  
Author(s):  
A Sanu ◽  
R Koppana ◽  
D G Snow
Keyword(s):  
Pain Relief ◽  
Conservative Treatment ◽  
Outcome Measure ◽  
Cost Effective ◽  
District General Hospital ◽  
Painful Condition ◽  
Main Outcome Measure ◽  
Male Patients ◽  
One Year

AbstractChondrodermatitis nodularis chronica helicis is a well-recognised painful condition of the pinna. There have been several modes of treatment described for this condition. Although the most common mode of treatment is surgery,1,2 several conservative approaches have also been tried.Objectives:To determine if chondrodermatitis nodularis chronica helicis can be treated conservatively using a doughnut-shaped pillow.Design and setting:Prospective study in Wrexham Maelor Hospital, which is a district general hospital.Participants:All the patients clinically diagnosed with chondrodermatitis nodularis chronica helicis between September 2003 and September 2004. All such patients were seen by an ENT consultant with a special interest in facial lesions. Patients who could not be clinically diagnosed with chondrodermatitis nodularis chronica helicis were excluded from the study.Main outcome measure:Pain relief following the use of a doughnut pillow was used as the main outcome measure.Results:Twenty-three (14 female and 9 male) patients were treated with a special doughnut-shaped pillow designed to relieve the pressure on the affected ear. Of the 23 lesions treated 13 remained pain free after a follow-up period of one year.Conclusion:Conservative treatment of chondrodermatitis nodularis chronica helicis using a doughnut pillow is very cost effective.

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